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创造性支持:通过博物馆干预提升轻度和中度认知障碍患者的幸福感。

Creative support: Enhancing well-being in mild and moderate cognitive impairment through museum interventions.

作者信息

Zakharov Sergey, Lifshitz-Ben-Basat Adi, Barak Sharon, Levi Sharon, Kermel Schiffman Ile, Maizels Yael, Springer Shmuel, Tesler Riki

机构信息

Health Management Department, Ariel University, Israel.

Health Promotion & Well-Being Research Center, Ariel University, Israel.

出版信息

Dementia (London). 2025 Aug;24(6):1156-1176. doi: 10.1177/14713012251340468. Epub 2025 May 8.

Abstract

BackgroundThe global incidence of dementia is increasing, establishing it as a significant cause of disability and diminished quality of life. The World Health Organization underscores the necessity of enhancing the well-being of individuals with dementia and their caregivers. Research has indicated that art-based interventions can improve cognitive functions and overall quality of life. This pilot study aimed to evaluate the impact of a museum-based intervention program on the well-being (quality of life, depression, and mood) of individuals with mild-to-moderate cognitive impairment (MCI-moderate), which may indicate early to moderate stages of dementia that was not formally diagnosed.MethodsWe recruited 29 participants with MCI-moderate (median MoCA score: 22). The intervention group consisted of 16 individuals (11 females, 5 males; mean age 83.5 years) who attended sessions at an art museum in Israel every once a week from March to April 2023. Thirteen age-matched individuals formed the control group, which did not participate in the museum program. Measures of well-being were assessed before and after the intervention, along with collecting participants' feedback. Well-being changes within and between-groups were analyzed using mixed model analysis of variance. Effect sizes were also calculated.ResultsThe intervention group showed significant improvements in quality of life with large effect sizes in all domains, and a significant reduction in depression symptoms; the control group experienced non-significant changes. Additionally, mood significantly improved following museum activities. Most participants positively reviewed the program, with a significant majority reporting enhanced mood (81.2%) and a strong intention to recommend it (93.7%); 62.5% expressed a desire for future participation.ConclusionsOur findings suggest that art interventions, such as museum programs, can significantly boost well-being in people with MCI-moderate, suggesting further exploration of the specific elements of such programs and their long-lasting effects.

摘要

背景

痴呆症的全球发病率正在上升,使其成为导致残疾和生活质量下降的一个重要原因。世界卫生组织强调提高痴呆症患者及其护理人员福祉的必要性。研究表明,基于艺术的干预措施可以改善认知功能和整体生活质量。这项试点研究旨在评估基于博物馆的干预项目对轻度至中度认知障碍(MCI-中度)患者的福祉(生活质量、抑郁和情绪)的影响,MCI-中度可能表明处于未被正式诊断的痴呆症的早期至中期阶段。

方法

我们招募了29名MCI-中度患者(蒙特利尔认知评估量表中位数得分:22)。干预组由16名个体组成(11名女性,5名男性;平均年龄83.5岁),他们在2023年3月至4月期间每周一次到以色列的一家艺术博物馆参加活动。13名年龄匹配的个体组成对照组,他们没有参加博物馆项目。在干预前后评估福祉指标,并收集参与者的反馈。使用混合模型方差分析来分析组内和组间的福祉变化。还计算了效应量。

结果

干预组在生活质量的所有领域都有显著改善,效应量较大,抑郁症状显著减轻;对照组没有显著变化。此外,博物馆活动后情绪显著改善。大多数参与者对该项目给予了积极评价,绝大多数人报告情绪得到改善(81.2%),并有强烈的推荐意愿(93.7%);62.5%的人表示希望未来继续参与。

结论

我们的研究结果表明,诸如博物馆项目之类的艺术干预措施可以显著提高MCI-中度患者的福祉,这表明需要进一步探索此类项目的具体要素及其长期效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31b4/12276400/67466b4a761e/10.1177_14713012251340468-fig1.jpg

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